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Late onset of right Bochdalek's hernia with strangulation of the omentum
Author(s) -
Shimizu T,
Hira S,
Hirooka S,
Yonekura T,
Tamai H
Publication year - 2002
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.2002.tb01675.x
Subject(s) - medicine , bochdalek hernia , vomiting , diaphragmatic hernia , pleural effusion , bloody , greater omentum , abdominal pain , hernia , surgery , thoracic cavity , radiology , congenital diaphragmatic hernia , fetus , pregnancy , biology , genetics
We report a case of bloody pleural effusion and infarction of the greater omentum caused by a non‐traumatic diaphragmatic hernia with a late presentation. A 15‐y‐old boy with Down's syndrome developed abdominal pain and vomiting, as well as an elevated serum level of C‐reactive protein. Chest roentgenograms showed a right‐sided pleural effusion and computed tomography revealed a right diaphragmatic hernia. Barium enema confirmed the diagnosis. An operation revealed a right Bochdalek's hernia with strangulation of the greater omentum in the right pleural cavity. Conclusion : Diaphragmatic hernia should be considered in patients with pleural effusion, abdominal pain and vomiting.